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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426209991
Report Date: 02/18/2020
Date Signed: 02/18/2020 11:30:31 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:MINER FAMILY CHILD CAREFACILITY NUMBER:
426209991
ADMINISTRATOR:DAMARIS MINERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 406-0520
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: 4DATE:
02/18/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Damaris MinerTIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Martina Jimenez conducted an annual inspection visit and met with licensee Damaris Miner. The purpose of the visit was discussed with the Licensee and together we toured the inside and outside of the home. LPA observed 4 children playing in the day-care room. The main day care areas are family room, dining room, kitchen, day-care room and bathroom. LPA observed the day care area to be clean and orderly. LPA observed age appropriate books, toy, games, tables and chairs. LPA observed the off-limits areas which include the upstairs bedrooms and garage secured with door knob covers and gates. The backyard is completely fenced. LPA observed a small outdoor dog.

No bodies of water were observed. Licensee stated that there are no weapons/ammunition in the home. Licensee stated she does not hold a foster family license. Sampling of children's records were reviewed. The fire extinguisher was observed and was serviced January 17, 2021 There is a functioning carbon monoxide detector and smoke alarm in the home, that meets statutory requirements. Licensee is current with immunization required per SB 792. The last Safety drill was conducted February 18, 2020. Licensee is current with CPR and First Aid which expires April 28, 2021.

Licensee is not providing Incidental Medical Services. Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: htttp://www.ada.gov/childqanda.htm

The Mandated Reporter Training required per AB 1207 was completed on January 13, 2020. LPA reviewed the handout "A Child Care Provider's Guide to Safe Sleep" and Effects of Lead Exposure. LPA provided a Handout for Reporting Child Abuse and Neglect Training provided on line at www.ccld.ca.gov. There were no deficiencies cites at this time. LPA observed licensee post the Notice of Site visit FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 387-5041
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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